A meta - analysis of observational studies have suggested that planned home birth may be safe and with less interventions
than planned hospital birth.
Especially when the research we have is very clear that, when set up properly, this option is even safer for low - risk pregnancies
than a planned hospital birth.
Planned home births are less risky
than planned hospital births, particularly for second - time mothers, says research in the British Medical Journal.
I would love to see a study that compares the rates of trauma sustained between PLANNED homebirth and PLANNED hospital birth — I'd be willing to bet that planned homebirth is actually more likely to be traumatic
than planned hospital birth.
Here is a BBC article that finds home birth less risky
than a planned hospital birth.
Not exact matches
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(d) According to the
plan, all existing state
hospitals of more
than one thousand beds should be gradually converted into centers for the care of chronically ill persons, both physically and mentally ill.
And so I learned that the
hospital is not an evil place (though choose your
hospital wisely if youâ $ ™ re
planning to birth there), that I am stronger
than I thought (I sort of want to cross-stitch â $ œ12 hours on pit with not pain medsâ $ into a pillow), and that even though it can sometimes appear as though they are, medical professionals are NOT the enemy (butâ $ ¦ do your research!
Another lengthy scan with very little discussion between the technician and us, again our worrying about our being steamrolled into a management
plan without through evaluation of the risks and benefits, or being essentially pushed into a
hospital birth because it would be best for the baby but also mean that I would not have the option of birthing vaginally was all a little more
than my tear ducts could bear.
Several studies have shown that
planned homebirth attended by a qualified experienced caregiver is as safe or safer
than hospital birth for low - risk women.
while being coerced to push even though I wanted to breath the babies down, I didn't get to see them at all for 15 hours after they were born because the
hospital staff didn't get their act together, not because it was medically necessary, etc., so much so that the head of OB (my office doc) later admitted they had me on suicide watch because what happened was so different
than my birth
plan... I wasn't stuck on exact details, especially because twins throw a loop in all of it, but it was nothing like I had hoped for, at all.
No matter that it comports with the data from Oregon that shows that
PLANNED homebirth with a LICENSED homebirth midwife has a death rate 9X higher
than comparable risk
hospital birth or that MANA has found that its own members have such hideous death rates that they have been desperately hiding them for years.
«While most pregnant women who choose to have
planned home births are at lower risk of complications due to careful screening,
planned home births are associated with double to triple the risk of infant death
than are
planned hospital births.
The following quote from the article above puzzles me to no end: «The latest CDC figures (publicly available on the CDC Wonder website) show that
planned homebirth with a non-nurse midwife has a mortality rate 600 % HIGHER
than low risk
hospital birth.»
The latest CDC figures (publicly available on the CDC Wonder website) show that
planned homebirth with a non-nurse midwife has a mortality rate 600 % HIGHER
than low risk
hospital birth.
In yet another example of a strikingly robust finding,
planned homebirth in NZ had more
than triple the neonatal death rate of
planned hospital birth.
Low risk women in primary care at the onset of labour with
planned home birth had lower rates of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta
than those with
planned hospital birth.
As the recently released statistics from Oregon show,
planned homebirth with a licensed homebirth midwife has a mortality rate 800 % HIGHER
than term
hospital birth.
It doesn't sound as though your situation was any different having a
planned hospital birth
than it would have been had you been
planning a home birth.
If you are
planning to use the milk in an area where more
than one baby has milk stored (e.g.
hospital or day care) them remember to write you baby's name on it.
The amended
plan on the table Monday reduced the size of the fitness center, thus cutting parking spaces and sparing more
than 60 trees that were close to a buffer zone between the
hospital and the preserve.
Hospital grade breast pumps are a must if you
plan to be gone more
than 6 hours per day from your baby.
Conclusions: Low risk women in primary care at the onset of labour with
planned home birth had lower rates of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta
than those with
planned hospital birth.
Planned homebirth with a licensed homebirth midwife in Oregon has a death rate 9X higher
than term births in the
hospital.
His book is a tinderbox that will infuriate both the pro-C-section lobbyists (babies born this way are five times more likely to suffer allergies he points out) and the natural birthers (infant death globally between birth and 28 days appears twice as high after
planned homebirth
than hospital birth).
We
plan on having a process in place whereby we can ensure you get there asap, often resulting in little difference
than the time you would be seen if you were in
hospital.
I've used the CDC Wonder data from 2003 - 2008 to demonstrate that in each year,
planned homebirth with a homebirth midwives has a neonatal death rate anywhere from 3 - 7X higher
than hospital birth.
How can you trust that homebirth is safe when the most comprehensive study ever done of homebirth (and analyzed by a midwife) found that
PLANNED homebirth with a LICENSED midwife has a death rate approximately 800 % higher
than comparable risk
hospital birth, and even MANA can't figure out how to criticize it?
The overall all rate of perinatal death at
planned homebirth with a LICENSED midwife was 800 % higher
than comparable risk
hospital deaths.
The most recent large scale study comparing outcomes for mother and baby reported in the British Medical Journal last month showed that for women who had previously given birth, adverse outcomes were less common among
planned home births (1 per 1,000)
than among
planned hospital births (2.3 per 1,000).
Note that the total mortality rate for births
planned to be attended by direct - entry midwives is 6 - 8 times higher
than the rate for births
planned to be attended in
hospitals.
When this 20 % risk of death is compared to the 0.02 % rate of cord prolapse during labor at homebirth that might have a better outcome if it happened in
hospital, this means that a low risk woman has a 1000 times higher chance of having a life threatening complication either to her life or her fetus / newborns life at
planned hospital birth,
than if she
plans to have an attended homebirth with a well - trained practitioner.
Oh, wait, maybe they do, and MANA is
planning to release them now to say «hey, it isn't really 8x the rate, like the Oregon stats show, they are an awful anomaly, it is * only * 3x, and three is almost the same as one, so, ipso facto, as safe or safer
than hospital birth.»
«The
planned category of out - of -
hospital births is seen to be a generally low - risk group for neonatal mortality, with very few low - birth - weight births and fewer teenage, low - educational levels and unwed mothers
than found statewide, «the researchers said.
You have a higher chance of complications during labor and birth
than a woman delivering a single baby, so you should
plan to deliver in a
hospital.
The odds of cesarean section among women
planning out - of -
hospital birth were lower among multiparous women
than among nulliparous women and among women with 12 years of education or less
than among women with more
than 12 years of education (Figure 1).
Obstetrical procedures were more common among women who had
planned in -
hospital births
than among women who delivered out of the
hospital (30.4 % vs. 1.5 % for induction of labor and 26.4 % vs. 1.1 % for augmentation of labor, P < 0.001 for both comparisons)(Table 3).
Rates of obstetrical intervention are high in U.S.
hospitals, and we found large absolute differences in the risks of these interventions between
planned out - of -
hospital births and in -
hospital births.38 In contrast, serious adverse fetal and neonatal outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between
planned birth locations were correspondingly small; for example,
planned out - of -
hospital births were associated with an excess of less
than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analyses.
After
hospital transfers were reclassified as belonging to the
planned out - of -
hospital birth category, the rate of fetal death was higher (though not quite reaching the level of significance) among out - of -
hospital births
than among in -
hospital births (2.4 vs. 1.2 deaths per 1000 deliveries, P = 0.05)(Table 3).
The proportions of women who were white, had private insurance or paid out of pocket, or were of advanced maternal age were higher among women who
planned out - of -
hospital birth
than among those who
planned in -
hospital birth (Table 1).
Similarly, rates of perinatal and neonatal death did not differ significantly before transfers were reclassified (P > 0.1 for all comparisons) but were higher in the case of
planned out - of -
hospital births
than in the case of
planned in -
hospital births after reclassification (perinatal death, 3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; neonatal death, 1.6 vs. 0.6 deaths per 1000 deliveries, P = 0.02).
An odds ratio of more
than 1 indicates that the risk of the outcome is increased with
planned out - of -
hospital birth as compared with
planned hospital birth.
Planned out - of - hospital birth was associated with a higher rate of perinatal death than was planned in - hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95 % confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95 % CI, 0.51 to
Planned out - of -
hospital birth was associated with a higher rate of perinatal death
than was
planned in - hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95 % confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95 % CI, 0.51 to
planned in -
hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95 % confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95 % CI, 0.51 to 2.54).
Perinatal mortality was higher with
planned out - of -
hospital birth
than with
planned in -
hospital birth, but the absolute risk of death was low in both settings.
Planned out - of - hospital birth was associated with a higher rate of perinatal death than was planned in - hospital birth (3.9 versus 1.8 deaths per 1,000 deliveries, p = 0.003; OR after adjustment for maternal characteristics and medical conditions, 2.43; 95 % CI: 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1,000 births; 95 % CI: 0.51 to
Planned out - of -
hospital birth was associated with a higher rate of perinatal death
than was
planned in - hospital birth (3.9 versus 1.8 deaths per 1,000 deliveries, p = 0.003; OR after adjustment for maternal characteristics and medical conditions, 2.43; 95 % CI: 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1,000 births; 95 % CI: 0.51 to
planned in -
hospital birth (3.9 versus 1.8 deaths per 1,000 deliveries, p = 0.003; OR after adjustment for maternal characteristics and medical conditions, 2.43; 95 % CI: 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1,000 births; 95 % CI: 0.51 to 2.54).
Unless you research it, you are unlikely to learn that a
planned homebirth with an experienced midwife is as - safe - as, if not safer,
than hospital delivery.
The odds for neonatal seizure were higher and the odds for admission to a NICU lower with
planned out - of -
hospital births
than with
planned in -
hospital birth.
Initial care, per day, for evaluation and management of normal newborn infant seen in other
than hospital or birthing center [not covered for
planned deliveries at home]
There would have to be one or more complications of low risk homebirths that result in death in the first week that can be prevented by being in
hospital, and death from these complications would have to occur more often
than low risk deaths at
planned hospital births.
More
planned home births had 5 - minute Apgar score less
than 4 (0.37 %) compared with
hospital births (0.24 %; adjusted OR, 1.87; 95 % CI: 1.36 to 2.58) and neonatal seizure (0.06 % versus 0.02 %, respectively; adjusted OR, 3.08; 95 % CI: 1.44 to 6.58).